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Z71.1 ICD-10-CM Code: Person with feared health complaint in whom no diagnosis is made

Z71.1 is not a CMS-HCC payment code. MEAT criteria · RAF calculator · HCC coding software

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FY 2026 Apr update / Factors influencing health status and contact with health services (Z00-Z99) / Persons encountering health services in other circumstances (Z69-Z76)

Z71.1

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Person with feared health complaint in whom no diagnosis is made

A person visits a healthcare provider with health concerns or fears but after evaluation, no actual medical diagnosis is found.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
Z71Persons encountering health services for other counseling and medical advice, not elsewhere classified
Z71.1Person with feared health complaint in whom no diagnosis is made

Inclusion Terms

Official
  • Person encountering health services with feared condition which was not demonstrated
  • Person encountering health services in which problem was normal state
  • 'Worried well'

Excludes 2

Official
  • contraceptive or procreation counseling (Z30-Z31)
  • sex counseling (Z70.-)

Related Child Codes

Official
Z71.0Person encountering health services to consult on behalf of another person
Z71.2Person consulting for explanation of examination or test findings
Z71.3Dietary counseling and surveillance
Z71.4Alcohol abuse counseling and surveillance
Z71.5Drug abuse counseling and surveillance

Includes

Official

ICD-10-CM does not list Includes notes for Z71.1 in this effective period.

Excludes 1

Official
  • medical observation for suspected diseases and conditions proven not to exist (Z03.-)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for Z71.1 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for Z71.1 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for Z71.1 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
This code is appropriate when the patient has anxiety about a health condition that is ruled out after examination
Document the presenting complaint and the findings that ruled out disease to support medical necessity

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is Z71.1 an HCC code?

No. Z71.1 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
Z71.1
Description
Person with feared health complaint in whom no diagnosis is made
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
Yes
Payment year
2026

Coder workflow notes

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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Z71.1 is the ICD-10-CM diagnosis code for person with feared health complaint in whom no diagnosis is made. A person visits a healthcare provider with health concerns or fears but after evaluation, no actual medical diagnosis is found. Z71.1 sits in the ICD-10-CM chapter for factors influencing health status and contact with health services (z00-z99), within the section covering persons encountering health services in other circumstances (z69-z76).

Z71.1 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

This code is appropriate when the patient has anxiety about a health condition that is ruled out after examination.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for Z71.1 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • This code is appropriate when the patient has anxiety about a health condition that is ruled out after examination
  • Document the presenting complaint and the findings that ruled out disease to support medical necessity

Excludes 1, Do NOT code together

  • medical observation for suspected diseases and conditions proven not to exist (Z03.-)

Child Codes

Code Hierarchy

Work Z71.1 in HCC Buddy

Open Z71.1 in the Code Book for the full Index-to-Tabular path, MEAT checklist, and V28 HCC mapping, or in the Encoder to code from a keyword search. Pro includes 7 days to try everything, no card required.